| NPI | 1801849476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10354) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR 437) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-06-10 |